Lead Audit Sheet

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

Paperwork

• Lead "Renovate Right" Brochure signed off ?

  Yes

  No

  N/A

• Are the Renovate Right forms within the 60 day period?

  Yes

  No

  N/A

• Using new folder-Version with "lead"highlighted Form # Inf24<br>

  Yes

  No

  N/A

• Pre 1978 sign offs on contracts

  Yes

  No

  N/A

• LSWP/CW24 Addendum - Used ?

  Yes

  No

  N/A

• Are the test results being given to the homeowner in a timely manner? (form# INF28)

  Yes

  No

  N/A

• Are the test result sheets being filled out correctly

  Yes

  No

  N/A

• Are pictures being taken of the containment and clean up and placed into the folders?

  Yes

  No

  N/A

• Are the measure check lists being used?

  Yes

  No

  N/A

• Are all the folders getting the correct documentation placed in them (Both Folders)

  Yes

  No

  N/A

• Are the job clearance forms being filled out correctly? (INF 29 -0210_Checklist)

  Yes

  No

  N/A

• Are the Lead Safe Workers Forms being Used and filled out ? (NF33-0410)

  Yes

  No

  N/A

• Are all the Sub Contractors firm certified?

  Yes

  No

  N/A

Supplies For LSWP

• Lead Cleaning wipes

  Yes

  No

  N/A

• Heavy Plastic Bags (Trash Bags)

  Yes

  No

  N/A

• LSWP Signs

  Yes

  No

  N/A

• Non Latex Gloves

  Yes

  No

  N/A

• Swiffers

  Yes

  No

  N/A

• Painters Tape / Duct Tape

  Yes

  No

  N/A

• Flash Lights for Clearance Testing

  Yes

  No

  N/A

• Poly 4/ mill Min on hand 6 Mill in some states (Plastic) 1.5 mill for zipwall or to cover furniture

  Yes

  No

  N/A

• Hepa Vacs Floor Model and a Tool Box Model (Make sure its usable with filters attached)

  Yes

  No

  N/A

• Hepa Filters for both models (Floor and Tool Box)

  Yes

  No

  N/A

• Respirators N/100,P/100 or Equivalent

  Yes

  No

  N/A

• Tack Pads

  Yes

  No

  N/A

• Disposable Coveralls

  Yes

  No

  N/A

• Zip Wall Poles

  Yes

  No

  N/A

LSWP - Job Visits

• Is This Job a

  Inside Install

  Outside Install

  Other

• Was the Job Clearly Marked with LSWP Signage?

  Yes

  No

  N/A

• Was the site taped off with caution tape ?

  Yes

  No

  N/A

• Were photos of the site take before and after ?

  Yes

  No

  N/A

• Was the site contained correctly? If no what are the reasons?

  Yes

  No

  N/A

• Was the site cleared correctly? If no what are the reasons?

  Yes

  No

  N/A

• Were the walls cleaned or wiped down with lead wipes?

  Yes

  No

  N/A

• Were the floors in the work area covered with plastic and taped down? If no why?

  Yes

  No

  N/A

• Were all the vents and air ducts covered ?

  Yes

  No

  N/A

• Was the Furniture removed or covered in the work area?

  Yes

  No

  N/A

• All door edges sealed off to rooms that are not being worked in?

  Yes

  No

  N/A

• Do the Crews and Mangers have Verification Cards on site? If not why not?

  Yes

  No

  N/A

• Were all the paint chips and debris picked up and protective sheeting misted ,folded dirty side inward, and Taped for removal

  Yes

  No

  N/A

• Is the Job posted with all the correct documents? (See list below )

  Yes

  No

  N/A

• Renovators Certificates

  Yes

  No

  N/A

• Workers Logs

  Yes

  No

  N/A

• Firm Certifications

  Yes

  No

  N/A

• Test Results sheet/s

  Yes

  No

  N/A

• Final Check Lists

  Yes

  No

  N/A

• Renovate Right Sign off (Note this must be within the 60 days )

  Yes

  No

  N/A

• Was thee any issues that were not covered on this list if so please add them here? Pictures if needed also.

  Yes

  No

  N/A

Numbers of Trained Personnel

• Number of trained renovators that are installers (Subs) Windows /Siding

• Mangers/Service Techs that are trained Renovators

• Patio Department that have Trained Renovators

• Number of Subs that have there own firm Certification?

• How much are the installers getting to do lead jobs? (per Window,Door,Garage door?)

• How much are the installers getting to do lead jobs? (per siding job?)

Areas of needed Improvements

• What is Needed to Improve the program.

  Yes

  No

  N/A

• Division Managers Signature

  Sign

• Auditors Signature

  Sign